While assessing a 20-year-old man during a physical examination for work, the nurse suspects alcohol use. Which assessment tool would be appropriate in this situation?
a. AUDIT screening tool
b. Rapid eye test
c. Beck Depression Inventory
d. Holmes Social Readjustment Rating Scale
ANS: A
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A client, 4 months' pregnant, is at the prenatal clinic for her initial visit for this pregnancy. Her history reveals she has 7-year-old twins, a 2-year old son, and a spontaneous abortion 1 year ago at 6 weeks' gestation
How would the nurse record her obstetric history? A) Grav. III, para III, ab. 1 C) Grav. IV, para V, ab. 0 B) Grav. III, para III, ab. 0 D) Grav. IV, para II, ab. 1
Which of the following can interfere with establishing the patient's trust during the initial interview?
a. greeting the patient by first name b. conducting the interview in a private room c. stating the purpose of the interview d. establishing a time frame for the interview
The physician prescribes warfarin 5 mg orally at 1800 for a patient who underwent open reduction and internal fixation of his right hip
After administering the medication, the nurse realizes that she administered a 10 mg tablet instead of the prescribed 5 mg PO. Which of the following actions by the nurse is appropriate? 1) No action is necessary because an extra 5 mg of warfarin is not harmful. 2) Call the prescriber and ask her to change the order to 10 mg. 3) Document on the chart that the drug was given and indicate the drug was given in error. 4) Complete an incident report according to the facility's policy.
A 72-year-old patient who has a history of a transient ischemic attack (TIA) has an order for aspirin 160 mg daily. When the nurse is administering medications, the patient says, "I don't need the aspirin today. I don't have a fever."
Which action should the nurse take? a. Document that the aspirin was refused by the patient. b. Tell the patient that the aspirin is used to prevent a fever. c. Explain that the aspirin is ordered to decrease stroke risk. d. Call the health care provider to clarify the medication order.